﻿<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="utf-8">
    <title>{REPORT_TITLE}</title>
    <link rel="stylesheet" href="{STYLE}?v=1,32." type="text/css" media="screen" />
</head>
<body>
    <div class="container-fluid">
        <div class="row-fluid">
            <div class="span9">
                <div class="row-fluid">
                    <div class="span3">
                        &nbsp;&nbsp;
                    </div>
                    <div class="span9">
                        <h2 class="central" style="text-decoration: underline;">
                            Request for Advance
                        </h2>
                        <h4 class="central" style="color: Red;">
                            No.: {REQ_NO.}</h4>
                    </div>
                </div>
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1"
                    style="border-bottom: 1px solid Grey;">
                    <thead>
                        <tr class="gridheader">
                            <th>
                                Payment To
                            </th>
                            <th>
                                Payment Terms
                            </th>
                            <th>
                                Payment Type
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="center">
                                {PAYMENT-TO}
                            </td>
                            <td align="center">
                                {PAYMENT-TERMS}
                            </td>
                            <td align="center">
                                {PAYMENT-TYPE}
                            </td>
                        </tr>
                    </tbody>
                    <thead>
                        <tr class="gridheader">
                            <th width="33%">
                                Date
                            </th>
                            <th width="33%">
                                Currency
                            </th>
                            <th width="34%">
                                Total Payment
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="center">
                                {DATE}
                            </td>
                            <td align="center">
                                {CURRENCY}
                            </td>
                            <td align="center">
                                <b>{TOTAL-PAYMENT}</b>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <br />
            </div>
            <div class="span3">
                <table>
                    <tbody>
                        <tr>
                            <td>
                                <img src="{LOGO1}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <img src="{LOGO2}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                DANISH REFUGEE COUNCIL<br />
                                Borgergade 10<br />
                                DK-1300 Copenhagen<br />
                                Denmark<br />
                            </td>
                        </tr>
                        <tr>
                            <td style="padding-top: 5px;">
                                COUNTRY OFFICE, UGANDA<br />
                                4688 Kalungi Road<br />
                                Muyenga, Kampala<br />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <a href="http://WWW.drc.dk">WWW.drc.dk</a><br />
                                <a href="http://WWW.danishdemininggroup.dk">www.danishdemininggroup.dk</a>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table class="black-borders default" style="margin: 10px 0;">
                    <tbody>
                        <tr>
                            <td class="blue" style="width: 25%">
                                <b>Subject/Purpose:</b>
                            </td>
                            <td colspan="5">
                                {SUBJECT}
                            </td>
                        </tr>
                        <tr>
                            <td class="blue" style="width: 25%;">
                                <b>Payment to:</b>
                            </td>
                            <td colspan="5">
                                {PAYMENT-TO}
                            </td>
                        </tr>
                        <tr>
                            <td class="blue" style="width: 25%;">
                                <b>Request for:</b>
                            </td>
                            <td class="choice-font">
                                <input type="radio" value="{DAILY-ALLOW}" />
                                &nbsp;&nbsp;Daily Allowance
                            </td>
                            <td class="choice-font">
                                <input type="radio" value="{PER-DIEM}" />
                                &nbsp;&nbsp;Per Diem
                            </td>
                            <td class="choice-font">
                                <input type="radio" value="{EXPENSE}" />
                                &nbsp;&nbsp;Expenses
                            </td>
                            <td class="choice-font">
                                <input type="radio" value="{ACCOMODA}" />
                                &nbsp;&nbsp;Accommodation
                            </td>
                            <td class="choice-font">
                                <input type="radio" value="{OTHER}" />
                                &nbsp;&nbsp;Other
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" border="1" class="goods-detail"
                    id="Table4">
                    <thead>
                        <tr class="gridheader">
                            <th colspan="5" align="center">
                                Payment Details
                            </th>
                        </tr>
                        <tr class="gridheader">
                            <th align="center">
                                Description
                            </th>
                            <th align="center">
                                Project No.
                            </th>
                            <th align="center">
                                Budget Line
                            </th>
                            <th align="center">
                                Amount
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {DETAILS}
                        <tr>
                            <td>
                                Total Advance
                            </td>
                            <td align="right" colspan="4">
                                <b>{TOTAL-PAYMENT}</b>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" class="goods-detail" id="Table1">
                    <tbody>
                        <tr class="gridheader">
                            <td width="100%" colspan="5">
                                <b style="text-decoration: underline;">Detailed Description (Domestic/International
                                    Travel, Destinations, Dates of Travel...)</b>
                                <br />
                                {DESCRIPTION}
                            </td>
                        </tr>
                        <tr class="gridheader">
                            <td width="100%" colspan="5">
                                <b style="text-decoration: underline;">Supporting Documents for RFA (TAF No., OR No.,
                                    Quotation No., Contract No... )</b>
                                <br />
                                {DOC-DISCRIPTION}
                            </td>
                        </tr>
                        <tr class="gridheader">
                            <td colspan="5">
                                <b style="text-decoration: underline;">Remarks:</b>
                                <br />
                                {REMARKS}
                            </td>
                        </tr>
                    </tbody>
                    <tfoot>
                        <tr>
                            <th>
                                Master Budget Currency
                            </th>
                            <td>{MB-CURRENCT}
                            </td>
                            <th>
                                Total
                            </th>
                            <td align="right">{MB-TOTAL}
                            </td>
                            <th>
                                Request For Payment Value
                            </th>
                        </tr>
                        <tr>
                            <th>
                                Voucher No.
                            </th>
                            <td>{VOUCHER-NO}
                            </td>
                            <th>
                                Account No.
                            </th>
                            <td>{ACCOUNT-NO}
                            </td>
                            <th>
                            </th>
                        </tr>
                    </tfoot>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table align="center" cellspacing="0" cellpadding="0" border="1" class="goods-detail">
                    <thead>
                        <tr class="gridheader">
                            <th width="19%">
                                Authorization
                            </th>
                            <th width="27%">
                                RFP Prepared by
                            </th>
                            <th width="27%">
                                Finance Review/Approval of BL/PN
                            </th>
                            <th width="27%">
                                RFA Authorized by Manager/CD
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {AUTHORISATION}
                    </tbody>
                </table>
            </div>
        </div>
    </div>
</body>
</html>
